{
"Npi": {
"NPI": "1265620751",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NICOLE M. LAUER CHIROPRACTIC P.A.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2600 S MERIDIAN",
"SecondLineMailingAddress": "APT 1412",
"MailingAddressCityName": "PUYALLUP",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98373-1556",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "763-772-8723",
"MailingAddressFaxNumber": "253-473-2484",
"FirstLinePracticeLocationAddress": "2600 S MERIDIAN",
"SecondLinePracticeLocationAddress": "APT 1412",
"PracticeLocationAddressCityName": "PUYALLUP",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98373-1556",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "763-772-8723",
"PracticeLocationAddressFaxNumber": "253-473-2484",
"EnumerationDate": "10/09/2007",
"LastUpdateDate": "06/26/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LAUER",
"AuthorizedOfficialFirstName": "NICOLE",
"AuthorizedOfficialMiddleName": "MARIE",
"AuthorizedOfficialTitle": "DOCTOR OF CHIROPRACTIC",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "763-772-8723",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "4978",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "CH60023270",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}